1 SAFETY AND QUALITY MANAGEMENT Flashcards
Which of the following organizations publishes
guidelines for writing procedures and policies in the urinalysis?
A. CDC
B. OSHA
C. CLSI
D. CLIA
C. CLSI
Exposure to toxic, carcinogenic, or caustic agents is what type of laboratory safety hazard?
A. Biological
B. Sharps
C. Chemical
D. Fire/explosive
C. Chemical
In the urinalysis laboratory, the primary source in the chain of infection would be:
A. Patients
B. Needlesticks
C. Specimens
D. Biohazardous waste
C. Specimens
The best way to break the chain of infection is:
A. Hand sanitizing
B. Personal protective equipment
C. Aerosol prevention
D. Decontamination
A. Hand sanitizing
The current routine infection control policy developed by CDC and followed in all health-care settings is:
A. Universal Precautions
B. Isolation Precautions
C. Blood and Body Fluid Precautions
D. Standard Precautions
D. Standard Precautions
An employee who is accidentally exposed to a possible bloodborne pathogen should immediately:
A. Report to a supervisor
B. Flush the area with water
C. Clean the area with disinfectant
D. Receive HIV prophylaxis
A. Report to a supervisor
Personnel in the urinalysis laboratory should wear laboratory coats that:
A. Do not have buttons
B. Are fluid-resistant
C. Have short sleeves
D. Have full-length zippers
B. Are fluid-resistant
All of the following should be discarded in biohazardous waste containers except:
A. Urine specimen containers
B. Towels used for decontamination
C. Disposable laboratory coats
D. Blood collection tubes
A. Urine specimen containers
An employer who fails to provide sufficient gloves for the employees may be fined by the:
A. CDC
B. NFPA
C. OSHA
D. FDA
C. OSHA
An acceptable disinfectant for decontamination of blood and body fluids is:
A. Sodium hydroxide
B. Antimicrobial soap
C. Hydrogen peroxide
D. Sodium hypochlorite
D. Sodium hypochlorite
Correct hand washing includes all of the following except:
A. Using warm water
B. Rubbing to create a lather
C. Rinsing hands in a downward position
D. Turning on the water with a paper towel
D. Turning on the water with a paper towel
Centrifuging an uncapped specimen may produce a biological hazard in the form of:
A. Vectors
B. Sharps contamination
C. Aerosols
D. Specimen contamination
C. Aerosols
An employee who accidentally spills acid on his arm should immediately:
A. Neutralize the acid with a base
B. Hold the arm under running water for 15 minutes
C. Consult the SDS
D. Wrap the arm in gauze and go to the emergency
department
B. Hold the arm under running water for 15 minutes
When combining acid and water, ensure that:
A. Acid is added to water
B. Water is added to acid
C. They are added simultaneously
D. Water is slowly added to acid
A. Acid is added to water
An employee can learn the carcinogenic potential of potassium chloride by consulting the:
A. Chemical hygiene plan
B. Safety Data Sheet
C. OSHA standards
D. Urinalysis procedure manual
B. Safety Data Sheet
Employees should not work with radioisotopes if they are:
A. Wearing contact lenses
B. Allergic to iodine
C. Sensitive to latex
D. Pregnant
D. Pregnant
All of the following are safe to do when removing the source of an electric shock except:
A. Pulling the person away from the instrument
B. Turning off the circuit breaker
C. Using a glass container to move the instrument
D. Unplugging the instrument
A. Pulling the person away from the instrument
The acronym PASS refers to:
A. Presence of vital chemicals
B. Operation of a fire extinguisher
C. Labeling of hazardous material
D. Presence of radioactive substances
B. Operation of a fire extinguisher
The system used by firefighters to assess the risk potential when a fire occurs in the laboratory is:
A. SDS
B. RACE
C. NFPA
D. PASS
C. NFPA
A class ABC fire extinguisher contains:
A. Sand
B. Water
C. Dry chemicals
D. Acid
C. Dry chemicals
The first thing to do when a fire is discovered is to:
A. Rescue people in danger
B. Activate the alarm system
C. Close doors to other areas
D. Extinguish the fire if possible
A. Rescue people in danger
If a red rash is observed after removing gloves, the employee:
A. May be washing her hands too often
B. May have developed a latex allergy
C. Should apply cortisone cream
D. Should not rub her hands so vigorously
B. May have developed a latex allergy
Pipetting by mouth is:
A. Acceptable for urine but not serum
B. Not acceptable without proper training
C. Acceptable for reagents but not specimens
D. Not acceptable in the laboratory
D. Not acceptable in the laboratory
The NPFA classification symbol contains information on all of the following except:
A. Fire hazards
B. Biohazards
C. Reactivity
D. Health hazards
B. Biohazards
The GHS requires the following on a chemical label:
A. Biohazard symbol, warning sign, environmental impact
B. Hazard pictogram, signal words, hazard statement
C. Biological symbol, hazard pictogram, long-term effects
D. Signal words, hazard statement, biological symbol
B. Hazard pictogram, signal words, hazard statement
The classification of a fire that can be extinguished with water is:
A. Class A
B. Class B
C. Class C
D. Class D
A. Class A
Employers are required to provide free immunization for:
A. HIV
B. HTLV-1
C. HBV
D. HCV
C. HBV
A possible physical hazard in the hospital is:
A. Wearing closed-toed shoes
B. Not wearing jewelry
C. Having short hair
D. Running to answer the telephone
D. Running to answer the telephone
Quality management refers to:
A. Analysis of testing controls
B. Increased productivity
C. Precise control results
D. Quality of specimens and patient care
D. Quality of specimens and patient care
During laboratory accreditation inspections, procedure manuals are examined for the presence of:
A. Critical values
B. Procedure references
C. Procedures for specimen preservation
D. All of the above
D. All of the above
As the supervisor of the urinalysis laboratory, you have just adopted a new procedure. You should:
A. Put the package insert in the procedure manual
B. Put a complete, referenced procedure in the manual
C. Notify the microbiology department
D. Put a cost analysis study in the procedure manual
B. Put a complete, referenced procedure in the manual
Indicate whether the following would be considered a 1) preexamination, 2) examination, or 3) postexamination factor by placing the appropriate number in the blank:
Reagent expiration date
2) examination
Indicate whether the following would be considered a 1) preexamination, 2) examination, or 3) postexamination factor by placing the appropriate number in the blank:
Rejecting a contaminated specimen
1) preexamination
Indicate whether the following would be considered a 1) preexamination, 2) examination, or 3) postexamination factor by placing the appropriate number in the blank:
Constructing a Levy-Jennings chart
2) examination
Indicate whether the following would be considered a 1) preexamination, 2) examination, or 3) postexamination factor by placing the appropriate number in the blank:
Telephoning a positive Clinitest result on a newborn
3) postexamination
Indicate whether the following would be considered a 1) preexamination, 2) examination, or 3) postexamination factor by placing the appropriate number in the blank:
Calibrating the centrifuge
2) examination
Indicate whether the following would be considered a 1) preexamination, 2) examination, or 3) postexamination factor by placing the appropriate number in the blank:
Collecting a timed urine specimen
1) preexamination
The testing of a specimen from an outside agency and the comparison of results with participating laboratories is called:
A. External QC
B. Electronic QC
C. Internal QC
D. Proficiency testing
D. Proficiency testing
A color change indicating that a sufficient amount of a patient’s specimen or reagent is added correctly to the test system would be an example of:
A. External QC
B. Equivalent QC
C. Internal QC
D. Proficiency testing
C. Internal QC
What steps are taken when the results of reagent strip QC are outside the stated confidence limits?
A. Check the expiration date of the reagent strip
B. Run a new control
C. Open a new reagent strips container
D. All of the above
D. All of the above
When a new bottle of QC material is opened, what information is placed on the label?
A. The supervisor’s initials
B. The lot number
C. The date and the laboratory worker’s initials
D. The time the bottle was opened
C. The date and the laboratory worker’s initials
When a control is run, what information is documented?
A. The lot number
B. Expiration date of the control
C. The test results
D. All of the above
D. All of the above
